Myron A Bodman in Fairview Park - Primary Podiatric Medicine
Myron A Bodman - NPI 1316943970
Myron A Bodman is a Primary Podiatric Medicine in Fairview Park, Ohio. Myron A Bodman practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Myron A Bodman is 1316943970. The last update date is 2012-09-17.
Myron A Bodman's current location address is 21245 Lorain Rd, Fairview Park, Ohio. You can contact this provider via phone number 4403561989 and fax number 4403565944. The mailing address for Myron A Bodman is 21245 Lorain Rd, Fairview Park, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Myron A Bodman |
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Address | 21245 Lorain Rd, Fairview Park, Ohio |
Phone Number | 4403561989 |
Fax Number | 4403565944 |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1316943970 |
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Provider Enumeration Date | 2005-06-28 |
Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
Address | 21245 Lorain Rd |
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City | Fairview Park |
State | Ohio (OH) |
Post Code | 441262140 |
Phone Number | 4403561989 |
Fax Number | 4403565944 |
Provider's Primary Taxonomy Detail
Speciality | Primary Podiatric Medicine |
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Taxonomy | 213Ep1101X |
Licence No | 36-00-1747 |
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
360041 | OH | -- | |
4800325161 | OH | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Myron A Bodman by the Centers for Medicare & Medicaid Services?
The Myron A Bodman has been assigned the NPI (National Provider Identifier) 1316943970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Myron A Bodman is physically located?
The Myron A Bodman is situated at the following address: 21245 Lorain Rd, Fairview Park, OH 441262140.
What is the Myron A Bodman's area of specialization and corresponding taxonomy classification?
The Myron A Bodman's specialty field is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their specialties.
When did the Myron A Bodman receive its 1316943970?
The Myron A Bodman was issued its 1316943970 on 2005-06-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Myron A Bodman's details last updated?
The information pertaining to the Myron A Bodman, including its address, specialty, and other details, was most recently updated on 2012-09-17.